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Wyszukujesz frazę "Słodkowski, Maciej" wg kryterium: Autor


Wyświetlanie 1-7 z 7
Tytuł:
Left-sided Spigelian hernia with nontypical hernial sac content
Autorzy:
Karkocha, Dominika
Lech, Gustaw
Jankowski, Mieczysław
Słodkowski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1392102.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
appendix
hernia-operative treatment
Spigelian hernia
Opis:
Spigelian hernia is one of the most uncommon hernia of the abdominal wall. Authors present 53 years old women with left sided spigelian hernia containing: caecum with appendix and ileum, which was an uncommon content of hernial sac. Past medical history of urinary bladder operation suggested postoperative hernia. However, the correct diagnosis was made during the operation. Hernioplasty was made with mesh onlay method. The postoperative course was unevenful.
Źródło:
Polish Journal of Surgery; 2019, 91, 6; 47-49
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A review of methods for preventing pancreatic fistula after distal pancreatectomy
Autorzy:
Mech, Katarzyna
Wysocki, Łukasz
Guzel, Tomasz
Makiewicz, Marcin
Nyckowski, Paweł
Słodkowski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1392876.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
pancreatic
Opis:
Pancreatic fistula is one of the most severe complications after pancreatic surgeries. The risk of pancreatic fistula after distal pancreatectomy is up to 60%. Effective methods to prevent pancreatic fistula are still sought. A unified definition of pancreatic fistula, which was introduced in 2005 by the International Study Group of Pancreatic Surgery (ISGPS), has allowed for an easier diagnosis and determination of fistula severity, as well as for a reliable inter-centre comparison of data. Furthermore, a number of publications point out the risk factors of pancreatic fistula, which may be classified into: patient-related risk factors, such as MBI, gender, smoking tobacco or pancreatic structure; and surgery-related risk factors, such as blood loss, prolonged surgery and non-underpinning of the major pancreatic duct. The analysis of risk factors and the use of different methods for the prevention of pancreatic fistula, including novel surgical techniques, may reduce both, the formation and severity of fistula. This will in turn lead to reduced secondary complications and mortality, as well as shorter hospital stay. We present a literature review on different strategies used to prevent pancreatic fistula. It seems, however, that multicenter, prospective, randomised studies in two large groups of patients after pancreatectomy are necessary to establish clear recommendations for the preventive management.
Źródło:
Polish Journal of Surgery; 2018, 90, 2; 38-44
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Assessment of changes in the body composition in patients qualified for the operational treatment of the primary and metastatic liver tumors with the use of bioelectric impedance
Autorzy:
Skroński, Michał
Andrzejewska, Marta
Fedosiejew, Małgorzata
Ławiński, Michał
Włodarek, Dariusz
Ukleja, Anna
Nyckowski, Paweł
Słodkowski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1392915.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
liver tumors
bioelectrical impedance
phase angle
Opis:
Introduction: Resection is an optimal way of treatment of hepatic tumors and metastasis from another organs. Operational injury may influence on patients body composition examined by bioelectrical impedance (BIA). Analysis of parameters may be helpful in identifying early changes indicating of deterioration in nutritional status. Aim of the study: was to assess changes in body composition of patients before and after resection of liver tumors and potential radiofrequency ablation of lesions. Material and methods: The study included a group of 50 patients of the Department of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, who were qualified for radical surgical treatment of tumors within the liver. Data on water content, fat, muscle and cell mass were analyzed. Results: Comparing data obtained from patients before and after intervention in the liver, statistically significant (p < 0.05) loss of intracellular water, muscle mass, cell mass as well as adipose tissue was demonstrated. The phase angle value in these patients also significantly changed, decreasing by an average of 0.61°. On the other hand, the increase in content was noted in the case of extracellular water. Conclusions: Surgical intervention within the liver causes noticeable, unfavorable changes in the body composition, as evidenced by the reduction in the value of muscle mass, as well as cellular mass, resulting in a decrease in the phase angle. Bioelectric impedance is a suitable method for assessing changes in body composition of patients undergoing liver resection and is useful in clinical practice. It is advisable to conduct further research in the group of patients undergoing invasive treatment of the liver due to: an increasing number of such operations and centers where this type of surgical intervention is performe.
Źródło:
Polish Journal of Surgery; 2018, 90, 6; 27-31
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Carcinoembryonic antigen and matrix metalloproteinase 2 serum and peritoneal washes concentration in staging and prognosis in colorectal cancer patients
Autorzy:
Guzel, Tomasz
Mirowska-Guzel, Dagmara
Lech, Gustaw
Wroński, Marek
Iwanowska, Marzena
Słodkowski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1392892.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
colorectal cancer
CEA
MMP-2
peritoneal washes
Opis:
Purpose: The aim of the study was to determine the significance of carcinoembryonic antigen and matrix metalloproteinase 2 peritoneal washes and serum concentration in patients suffering from colorectal cancer concerning tumor staging and 5-year survival rate in these patients. Methods: 80 patients who underwent curative surgery for colorectal cancer were included in the study. Preoperative serum and intraoperative peritoneal washes CEA and MMP-2 concentrations were measured. Results: Regarding tumor penetration, CEA-s and CEA-p concentrations were higher in subsequent stages from T2 to T4. Both CEA-s and CEA-p concentrations were lower in T2 compared to T3 and T4. Significant difference of CEA-s and CEA-p was noted between T2 and T4 stages. MMP-2-s concentration was higher in T3 compared to T2, the highest MMP-2-p concentration was in T4, with no statistical significance. Regarding nodular status, a significant difference of CEA-s was noted between N0 and N1. For CEA-p, significance was found between N0 and N2 as between N1 and N2. MMP-2-s concentration was the highest in N1, MMP-2-p concentration was the highest in T4, with no statistical significance. The 5-year survival rate for all patients was 63.53%. There were significant differences in CEA-s and CEA-p concentrations between patients with negative and positive 5-year survival. Conclusion: Intraoperative peritoneal washes concentration of CEA may potentially serve as an important factor for more precise colorectal cancer staging. CEA-p and CEA-s concentrations correlate with survival rate in patients suffering from colorectal cancer and can be useful as an additional prognostic factor. The usefulness of MMP-2 measurement still requires further studies.
Źródło:
Polish Journal of Surgery; 2018, 90, 5; 36-43
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Challenges in diagnosing and treating pancreatic neuroendocrine tumours in patients with a multiple endocrine neoplasia type 1 (MEN1) syndrome
Autorzy:
Rogozik, Natalia
Kolasińska-Ćwikła, Agnieszka
Ćwikła, Jarosław B.
Cichocki, Andrzej
Przybyłkowski, Adam
Słodkowski, Maciej
Bednarczuk, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/1035818.pdf
Data publikacji:
2018
Wydawca:
Medical Education
Tematy:
diagnosis
multiple endocrine neoplasia type 1 syndrome
pancreatic neuroendocrine tumours
treatment
Opis:
Multiple endocrine neoplasia type 1 (MEN1) syndrome is an autosomal dominant hereditary disorder characterised by coexistence of pancreatic neuroendocrine tumours (pNETs) with parathyroid and pituitary tumours. PNETs, including mostly non-functioning tumours, gastrinoma and insulinoma, occur in nearly 95% of MEN1 patients and account for over 50% of disorder-related mortality. Therefore, early initiation of screening for pNET using biochemical and imaging tests as well as appropriate surgical and systemic treatment are of particular importance for this group of patients. Currently, there are no clearly defined guidelines which determine the optimal methods for detection and treatment of pNET in MEN1. Caution should be exercised when applying the guidelines designed for patients with sporadic pNET to MEN1 patients as the clinical course of the disorder is slightly different, involving multifocality of lesions and younger age of patients at onset. This paper discusses the distinctive features and challenges in diagnosing and treating pNETs in MEN1 patients.
Źródło:
OncoReview; 2018, 8, 2; 42-47
2450-6125
Pojawia się w:
OncoReview
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Surgical treatment of extra-appendiceal colorectal neuroendocrine tumors.
Autorzy:
Maryański, Jan
Cyran-Chlebicka, Agata
Szczepankiewicz, Benedykt
Cebulski, Włodzimierz
Słodkowski, Maciej
Wroński, Marek
Powiązania:
https://bibliotekanauki.pl/articles/1392639.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
colorectal neuroendocrine tumor
gastrointestinal neoplasms
colorectal surgery
Opis:
Background: Extra-appendiceal colorectal neuroendocrine tumors are rare neoplasms with variable biological behavior. Materials and Methods: The study group consisted of 15 patients with an extra-appendiceal colorectal neuroendocrine tumor who underwent surgical resection (M/F=3:12, mean age=62.9 years). Lower-grade neuroendocrine tumors (NET G1-G2) and neuroendocrine carcinomas were recognized in 5 and 10 patients, respectively. Data were evaluated retrospectively with regard to clinical and pathologic characteristics and outcomes. Results: The median age of the patients with lower-grade NETs was significantly lower than that in patients with NECs (53 yrs vs. 68 yrs, p=0.03). NETs G1-G2 were significantly smaller than neuroendocrine carcinomas (4.0 cm vs. 6.4 cm, p=0.02). There were no differences between lower-grade NETs and NECs with regard to tumor location, local infiltration, rate of nodal involvement, and distant metastases. All the patients underwent open segmental resection of the colon or rectum. Complete resection was achieved in 3 of 5 patients from the lower-grade NET group, and in 5 of 10 patients in the NEC group (p=1.0). The overall survival was significantly better for lower-grade NETs tumors (p=0.005). The median survival was 4.8 months in the NEC group. The median survival in the lower-grade NET group was not achieved after a median follow-up of 69 months. Three-year overall survival was at a level of 100% for lower-grade NETs, and only 27% for NECs. Conclusion: Lower-grade neuroendocrine tumors seem to exhibit comparable potential for dissemination as neuroendocrine carcinomas, however, prognostic implications of metastases are distinct.
Źródło:
Polish Journal of Surgery; 2018, 90, 3; 7-12
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Infeasibility of endoscopic transmural drainage due to pancreatic pseudocyst wall calcifications - case report
Autorzy:
Krajewski, Andrzej
Lech, Gustaw
Makiewicz, Marcin
Kluciński, Andrzej
Wojtasik, Monika
Kozieł, Sławomir
Słodkowski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1393460.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
postinflammatory pancreatic pseudocysts
endoscopic transmural drainage
calcifications in the pancreatic pseudocyst wall
Opis:
Postinflammatory pancreatic pseudocysts are one of the most common complications of acute pancreatitis. In most cases, pseudocysts self-absorb in the course of treatment of pancreatitis. In some patients, pancreatic pseudocysts are symptomatic and cause pain, problems with gastrointestinal transit, and other complications. In such cases, drainage or resection should be performed. Among the invasive methods, mini invasive procedures like endoscopic transmural drainage through the wall of the stomach or duodenum play an important role. For endoscopic transmural drainage, it is necessary that the cyst wall adheres to the stomach or duodenum, making a visible impression. We present a very rare case of infeasibility of endoscopic drainage of a postinflammatory pancreatic pseudocyst, impressing the stomach, due to cyst wall calcifications. A 55-year-old man after acute pancreatitis presented with a 1-year history of epigastric pain and was admitted due to a postinflammatory pseudocyst in the body and tail of pancreas. On admission, blood tests, including CA 19-9 and CEA, were normal. An ultrasound examination revealed a 100-mm pseudocyst in the tail of pancreas, which was confirmed on CT and EUS. Acoustic shadowing caused by cyst wall calcifications made the cyst unavailable to ultrasound assessment and percutaneous drainage. Gastroscopy revealed an impression on the stomach wall from the outside. The patient was scheduled for endoscopic transmural drainage. After insufflation of the stomach, a large mass protruding from the wall was observed. The stomach mucosa was punctured with a cystotome needle knife, and the pancreatic cyst wall was reached. Due to cyst wall calcifications, endoscopic drainage of the cyst was unfeasible. Profuse submucosal bleeding at the puncture site was stopped by placing clips. The patient was scheduled for open surgery, and distal pancreatectomy with splenectomy was performed. The histopathological examination confirmed the initial diagnosis of postinflammatory pancreatic pseudocyst. Endoscopic transmural drainage is a highly effective procedure for treating postinflammatory pancreatic pseudocysts. In some patents, especially with large pseudocysts, pseudocysts with calcified walls, and cysts of primary origin, resection should be performed.
Źródło:
Polish Journal of Surgery; 2017, 89, 1; 63-67
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-7 z 7

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